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Individual

DR. ROBERT F. MATLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036115472
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036115472
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036115472
IL
01
P00468492
RAILROAD MEDICARE
IL
Enumeration date
06/25/2006
Last updated
06/26/2025
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